Single vaginal delivery ups later risk of pelvic organ prolapse

November 9, 2012
Single vaginal delivery ups later risk of pelvic organ prolapse
Twenty years after childbirth, the risk of symptomatic pelvic organ prolapse is increased after a single vaginal delivery versus cesarean section, according to a study published online Nov. 2 in BJOG: An International Journal of Obstetrics and Gynaecology.

(HealthDay)—Twenty years after childbirth, the risk of symptomatic pelvic organ prolapse (sPOP) is increased after a single vaginal delivery versus cesarean section, according to a study published online Nov. 2 in BJOG: An International Journal of Obstetrics and Gynaecology.

Maria Gyhagen, from the Sahlgrenska Academy at Gothenburg University in Sweden, and colleagues examined the prevalence and risk factors for sPOP and concomitant urinary incontinence 20 years after one cesarean section or vaginal delivery. A total of 5,236 singleton primiparae with a birth in 1985 to 1988 with no further births were surveyed using validated questionnaires.

The researchers found that there was an increased prevalence of sPOP after vaginal delivery compared with cesarean section (14.6 versus 6.3 percent; odds ratio, 2.55). No increase was seen after acute versus elective cesarean section. Compared with spontaneous vaginal delivery there was no increased risk of sPOP with episiotomy, vacuum extraction, and second-degree or more laceration. With each unit increase of current and each 100 g increase in , there was a significant 3 percent increase in sPOP. The prevalence of sPOP was doubled for mothers ≤160 cm in height who delivered a child weighing 4,000 g or greater, compared with short mothers who delivered an infant weighing less than 4,000 g (24.2 versus 13.4 percent; odds ratio, 2.06). Compared with women without prolapse, women with sPOP more often had urinary incontinence and urinary incontinence for more than 10 years.

"The prevalence of sPOP was doubled after vaginal delivery compared with , two decades after one birth," the authors write.

Explore further: Incontinence 20 years after child birth three times more common after vaginal delivery

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Incontinence 20 years after child birth three times more common after vaginal delivery

March 26, 2012
Women are nearly three times more likely to experience urinary incontinence for more than 10 years following a vaginal delivery rather than a caesarean section, finds new research at the Sahlgrenska Academy at the University ...

OASIS risk up for nulliparous women with vacuum delivery

August 24, 2012
(HealthDay)—For women whose infants are delivered by vacuum extraction, the risk of obstetric anal sphincter injury (OASIS) is significantly higher among nulliparous women than multiparous women, according to a study published ...

International study shows Caesareans not as 'posh' as commonly believed

June 14, 2011
(Medical Xpress) -- A ground-breaking study of women who have given birth in New Zealand, Scotland and England, has found the strongest evidence yet that having caesarean sections does not always protect women from the common ...

Reduced baby risk from another cesarean

March 13, 2012
A major study led by the University of Adelaide has found that women who have had one prior cesarean can lower the risk of death and serious complications for their next baby - and themselves - by electing to have another ...

Fear of childbirth increases likelihood of C-section

September 21, 2011
A new study published in the international journal Acta Obstetricia et Gynecologica Scandinavica (AOGS) reveals that fear of childbirth is a predisposing factor for emergency and elective cesarean sections, even after psychological ...

Women with a fear of childbirth endure a longer labor: research

June 26, 2012
Women who have a fear of childbirth spend longer in labour than women who have no such fear, suggests new research published today (27 June) in BJOG: An International Journal of Obstetrics and Gynaecology.

Recommended for you

Women taking probiotics during pregnancy might have lower pre-eclampsia and premature birth risk

January 24, 2018
Probiotics taken during pregnancy might help lower the risks of pre-eclampsia and premature birth, suggests observational research in the online journal BMJ Open. But timing may be crucial, the findings indicate.

Essure female sterilization device appears safe: study

January 23, 2018
(HealthDay)—Essure implants used in female sterilization have come under fire in recent years, with women reporting a wide array of problems to the U.S. Food and Drug Administration.

Premature births linked to changes in mother's bacteria

January 23, 2018
Changes to the communities of microbes living in the reproductive tract of pregnant women could help to spot those at risk of giving birth prematurely.

Study shows how fetal infections may cause adult heart disease

January 23, 2018
Recent studies have shown that infants born prematurely have a higher risk of developing heart disease later in life. Now, a study led by researchers at the University of Washington School of Medicine in Seattle shows that, ...

Rise in preterm births linked to clinical intervention

January 18, 2018
Research at the University of Adelaide shows preterm births in South Australia have increased by 40 percent over 28 years and early intervention by medical professionals has resulted in the majority of the increase.

New report calls into question effectiveness of pregnancy anti-nausea drug

January 17, 2018
Previously unpublished information from the clinical trial that the U.S. Food and Drug Administration relied on to approve the most commonly prescribed medicine for nausea in pregnancy indicates the drug is not effective, ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.